Individual provider Active NPI

Paul Anthony Digiovanni, OTR

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1013054048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
011619-1 Issued in NY
Practice address
2324 Forest Ave
Staten Island, NY 10303-1506
Phone
(718) 447-0200
Fax
(718) 981-1431
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 011619-1 NY Primary

Addresses

Primary practice location

2324 Forest Ave
Staten Island, NY 10303-1506

Mailing address

3411 Avenue U
Brooklyn, NY 11234-5102
Phone (917) 509-5370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090107000358 NY Practitioner - Occupational Therapist in Private Practice 2466515119 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone (718) 665-7565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011619-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Epic Long Island CurrentSince Mar 11, 2016 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc Current Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Mar 11, 2016 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Sep 25, 2020 Accepting new patients
Superior Clinical Care PLLC CurrentSince Apr 1, 2016 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Sep 4, 2004 Accepting new patients
Lifespire, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Epic Medical Services PC CurrentSince Apr 1, 2016 Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

330 W 34th St
Fl 15
New York, NY 10001
Phone 21294757705357

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

5140 59th St
Woodside, NY 11377
Phone (718) 205-0210

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013054048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345102",
            "telephone_number": "917-509-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031506",
            "telephone_number": "718-447-0200",
            "fax_number": "718-981-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.